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HTML Preview Monthly Payroll page number 1.
1
MONTHLY PAYR
OLL REPORTING
SHEET
NAME:
MONTH/YEAR:
Monthly Totals:
TYPE
MISC. PAY
# OF
HOURS/DAYS
# OF
VISITS
PAY RATE
TOTAL $
Opens
--------------
----------------
$
$
Misc. Visits
--------------
----------------
$
$
Co
-signs
--------------
----------------
$
$
PTO
--------------
------------
$
$
In
-service
--------------
------------
$
$
Meetings
--------------
------------
$
$
Chart Reviews
------------
$
$
Miscellaneous
$
$
Totals
$
$
Report only time not i
ncluded in
the
on
-line Home Health Car
e Assistant
system.
Please send your c
ompleted sheet by the 1
st
of the month fo
r the previous
month.
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